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Journal of Korean Neurosurgical Society 2004;36(1): 69-71.
A Case of Intramedullary Spinal Cord Astrocytoma Associated with Neurofibromatosis Type 1.
Jae Taek Hong, Sang Won Lee, Byung Chul Son, Moon Chan Kim
1Department of Neurosurgery, St. Vincent Hospital, The Catholic University of Korea, Suwon, Korea. nslsw@vincent.cuk.ac.kr
2Department of Neurosurgery, Kangnam St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
The authors report a symptomatic intramedullary spinal cord astrocytoma in the thoracolumbar area associated with neurofibromatosis type 1(NF-1). A 38-year-old woman presented with paraparesis. Magnetic resonance imaging revealed an intramedullary lesion within the lower thoracic spinal cord and conus medullaris, which was removed surgically. Pathological investigation showed anaplastic astrocytoma. This case confirms that the diagnosis criteria set by the National Institute of Health Consensus Development Conference can be useful to differentiate ependymoma from astrocytoma when making a preoperative diagnosis of intramedullary spinal cord tumor in patients of NF-1.
Key Words: Astrocytoma; Intramedullary cord tumor; Neurofibromatosis
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